Denture Care and Adaptation Quiz
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Questions and Answers

What is a common issue faced by patients starting to use new dentures?

  • Immediate acceptance of the new dentures
  • Overly lengthy adjustment period
  • Risk of reverting to old dentures due to dissatisfaction (correct)
  • Unawareness of required cleaning methods

Which of the following best describes the effect of the porous structure of denture materials?

  • It prevents stains from forming
  • It enhances the durability of the dentures
  • It helps in the retention of dentures
  • It contributes to the growth of microorganisms (correct)

Why might elderly patients struggle with adapting to new dentures?

  • They tend to have poorly fitting gums
  • They require more frequent adjustments
  • They are often resistant to changes (correct)
  • They lack financial resources for care

What should be considered for patients with old dentures who are receiving new ones?

<p>They may be seen as a high-risk group for dissatisfaction (D)</p> Signup and view all the answers

What is the purpose of disinfection in denture care?

<p>To remove or deactivate pathogenic microorganisms (D)</p> Signup and view all the answers

What should be assessed to prevent issues during the denture fitting?

<p>Cheek and lip contours alignment (C)</p> Signup and view all the answers

What complication arises if excessively short teeth are used without considering the smile line?

<p>Responsibility liability of the dentist (D)</p> Signup and view all the answers

What is necessary when an upper lip is excessively mobile and short?

<p>Potential surgical intervention (D)</p> Signup and view all the answers

What should be checked in the denture edges to avoid complications?

<p>Height, thickness, sharpness, and comfort (B)</p> Signup and view all the answers

What effect can thick and high edges in the upper jaw anterior region have?

<p>Elevation of the nose base and lip bulging (C)</p> Signup and view all the answers

What should be done if there are errors in tooth arrangement?

<p>Change the arrangement of the teeth (B)</p> Signup and view all the answers

During the denture try-in stage, when are problems likely to be encountered?

<p>If the contours of the denture are not assessed correctly (D)</p> Signup and view all the answers

What procedure should be performed when there is contact detected with articulation paper?

<p>Appropriate grinding should be done on the corresponding arch. (C)</p> Signup and view all the answers

In centric relation, what is the acceptable gap between the upper and lower anterior teeth?

<p>1 mm (D)</p> Signup and view all the answers

What must be adjusted in bilateral movements after the patient has used their dentures for a while?

<p>The bilateral balance. (D)</p> Signup and view all the answers

How long does it generally take for a patient to get used to their dentures?

<p>4-6 weeks (B)</p> Signup and view all the answers

What should be ensured regarding the relationship between the upper denture's tuberosity and the lower denture's retromolar bulge?

<p>They should not touch each other. (D)</p> Signup and view all the answers

Before fitting dentures, what information should be provided to the patient?

<p>How to use and clean the dentures, along with potential challenges. (A)</p> Signup and view all the answers

What is the recommended placement of the patient's dentures before final delivery?

<p>In a liquid-filled container where they can see them. (D)</p> Signup and view all the answers

What should be prepared for when delivering dentures to the patient?

<p>Unexpected reactions, with explanations of the reasons. (A)</p> Signup and view all the answers

What is the appropriate course of action if premature contacts are detected during assessment?

<p>Grind them to correct the issue. (A)</p> Signup and view all the answers

What is a common initial experience when starting to use new dentures?

<p>Increased saliva production (A)</p> Signup and view all the answers

How long does it typically take for patients to eat comfortably with new dentures?

<p>4-6 weeks (D)</p> Signup and view all the answers

Why should patients avoid biting food with their anterior teeth?

<p>It can cause the posterior sections to lift away from the tissue (C)</p> Signup and view all the answers

What is recommended for patients reading aloud to improve their denture speaking skills?

<p>Practicing with difficult words (D)</p> Signup and view all the answers

Which factors contribute significantly to controlling dentures?

<p>The tongue, lips, and cheeks (D)</p> Signup and view all the answers

Why is it important for patients to chew food on both sides?

<p>It helps improve balance while eating (C)</p> Signup and view all the answers

What adjustment challenge do first-time complete denture users face?

<p>Greater difficulty in adjustment (A)</p> Signup and view all the answers

What should new denture patients primarily start eating?

<p>Small pieces of soft foods (D)</p> Signup and view all the answers

What is likely to decrease over time after starting to wear new dentures?

<p>Retention difficulties (C)</p> Signup and view all the answers

What practice should patients engage in to enhance their speech with new dentures?

<p>Reading aloud frequently (D)</p> Signup and view all the answers

What should a patient do if they cannot remove their dentures for an extended period?

<p>Brush the edentulous ridges. (C)</p> Signup and view all the answers

Why is it important for patients to not adjust their dentures themselves?

<p>Self-adjustment may lead to more pressure sores. (B)</p> Signup and view all the answers

For how long should dentures be kept in place before seeing the dentist?

<p>At least 9 hours. (B)</p> Signup and view all the answers

What is the main reason for removing dentures for 4-6 hours daily?

<p>To allow oral tissues to rest. (B)</p> Signup and view all the answers

What action is recommended for new denture users regarding feeding habits?

<p>They should stick to soft foods. (D)</p> Signup and view all the answers

What should patients avoid doing with their dentures to prevent distortion?

<p>Put dentures in water when not wearing them. (D)</p> Signup and view all the answers

Why might a dentist advise not removing dentures at night during the first few days?

<p>To help the patient acclimate to the dentures. (A)</p> Signup and view all the answers

What psychological aspect is emphasized for patients starting new dentures?

<p>Patients should be determined to use their dentures. (D)</p> Signup and view all the answers

What can happen to patients who disregard the recommended use of dentures?

<p>They may experience dental discomfort due to pressure sores. (D)</p> Signup and view all the answers

Who should identify the pressure points on the dentures?

<p>The dentist examining the dentures. (D)</p> Signup and view all the answers

Flashcards

Denture Try-In

The process of checking and adjusting the denture's fit against the cheeks and lips to ensure proper contours and aesthetics.

Labial Acrylic Visibility

The visibility of the denture material (acrylic) in the area between the lip and teeth.

Negative Anatomical Condition

When the upper lip is unusually short and moves a lot, it can make denture acrylic visible, especially during smiling.

Patient Consultation

Providing the patient with information about potential issues with denture visibility caused by anatomical factors, and suggesting corrective measures.

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Surgical Intervention

Dental surgery to alter the shape or position of the upper lip, which can be necessary to address problems like denture acrylic visibility.

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Smile Line Responsibility

The dentist's responsibility to ensure that the denture does not alter the natural appearance of the smile line.

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Denture Edge Evaluation

Inspecting the denture's edges for height, thickness, sharpness, and overall comfort to ensure proper placement and prevent irritation.

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Premature Contact

Improper contact between upper and lower dentures due to polymerization shrinkage during curing. This contact typically needs to be corrected by grinding with a fine grit (around 60 microns).

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Bilateral Balance in Eccentric Movements

Adjusting the denture's fit by grinding to achieve proper balance when the patient moves their jaw from side-to-side.

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Relationship between Tuberosity and Retromolar Bulge

The alignment between specific landmarks on the upper and lower dentures. During construction, it's crucial to ensure these areas do not contact each other.

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Checking Contact with Articulation Paper

Checking for contact between the dentures using a thin paper sheet. If contact is detected, grinding is required on the corresponding arch.

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Gap between Anterior Teeth

The space between the front teeth of the upper and lower dentures. It's important for proper speech and esthetics.

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No Contact in Centric Relation

When the lower jaw is in its most natural position, the front teeth of the upper and lower dentures should not touch. There should be a small space (around 1 mm) between them.

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Final Delivery of Dentures

The final step in the denture construction process where the dentures are given to the patient for use.

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Denture Storage

The dentures are placed in a container filled with liquid so the patient can easily see them.

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Patient Education

After the dentures are delivered, informing the patient on proper use and cleaning techniques, as well as any potential challenges they might encounter.

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What is Disinfection?

The act of removing or inactivating harmful microorganisms to prevent infection.

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Why can dentures get dirty?

Dentures can become a breeding ground for microorganisms due to their porous structure, stippling, interdental spaces, retention areas, and microscopic imperfections.

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How often should denture wearers see a dentist?

Regular checkups every 6 months or at least once a year are important for denture care.

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Who requires special consideration during denture adjustment?

Patients who have old dentures and receive new ones require extra attention, as they might revert to using their old ones upon slight dissatisfaction.

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How should denture adjustments be handled for very elderly patients?

Elderly patients may resist changes, so gradually adjusting their old dentures might be a suitable alternative to making new ones.

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Increased Saliva Production

Increased saliva production in the first few days of wearing dentures, which can affect denture retention. This is usually temporary and subsides within a short period of time.

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Speaking with Dentures

Speaking comfortably with dentures takes time and practice, but it is not a significant issue. You may need to practice reading aloud and work on pronouncing challenging words.

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Eating with Dentures

It takes time to adjust to eating normally and comfortably with dentures. Start with soft, small pieces of food, chew slowly and keep your lips closed.

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Chewing on Both Sides

For balanced chewing, it's essential to chew food on both sides to prevent uneven pressure and potential denture movement.

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Avoid Biting with Front Teeth

Avoid biting food with the front teeth (anterior teeth) because it can cause the back part of the denture (posterior sections) to lift up, making the denture less secure.

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Tongue, Lips, and Cheeks Role

Your tongue, lips, and cheeks play a vital role in controlling and stabilizing your dentures. They help you maintain the correct position and prevent dentures from slipping.

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Adjustment Period for New Users

New denture users, especially those with complete dentures, may experience a longer and more challenging adjustment period. It often takes time to get used to the feeling and the necessary adjustments.

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Denture Adjustment Challenges

The adjustment process to dentures can be challenging, leading to frustrations. It's important to be patient, embrace the process of learning, and seek professional advice if needed.

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Regular Dentist Checkups

During the adjustment period, it's important to visit the dentist for regular checks to ensure the dentures are fitting well and to make any necessary adjustments.

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Addressing Discomfort During Adjustment

If you experience pain, discomfort, or any issues with your dentures during the adjustment period, it's essential to consult with your dentist for an evaluation and possible adjustments.

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Can a edentulous patient eat without dentures?

The practice of not wearing dentures, even though they are available, is not a healthy practice.

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Who should adjust new dentures?

When first using new dentures, it is crucial that the patient does NOT attempt to adjust the dentures themselves.

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How long should a patient wear dentures before a dentist appointment?

To ensure proper fitting and identify potential pressure points, the dentist should examine the dentures with the patient wearing them for at least nine hours.

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Who should identify denture pressure points?

The dentist should directly identify areas of pressure, rather than relying solely on the patient's subjective reports.

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How often should dentures be removed?

Regular removal of dentures allows gum tissues to rest and prevents potential irritation.

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Should edentulous ridges be cleaned even when dentures are worn for long periods?

Even if dentures can't be removed daily, cleaning the edentulous (toothless) ridges is still recommended.

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Where should dentures be stored when not worn?

When not in use, dentures should be stored in water to prevent them from drying out and changing shape.

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What is crucial for successful denture use?

It's essential for patients to be committed to using their dentures for them to be effective.

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Should dentures be worn at night?

Initially, especially during the first few days, the patient may be advised to keep their dentures in even at night.

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How can a patient adjust to dentures?

Patients using dentures need to adjust to positioning their tongue slightly forward.

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Study Notes

Delivery of Complete Dentures to the Patient

  • Complete dentures are evaluated by three groups: dentists, patients, and their relatives/friends.
  • The dentist's evaluation must be sincere and honest, correcting any mistakes immediately.
  • Patient evaluation is in two stages: the first at delivery and the second after, with follow-up.
  • Problems arising from delivery need to be resolved immediately and negative thoughts should be prevented.
  • Patient's relatives and friends are concerned primarily with esthetics, though patient preference is key.

Recommendations for Patients Starting to Use New Dentures

  • Newly placed dentures may feel foreign and large, creating a sense of fullness in the lips and cheeks.
  • This is a temporary sensation, and patients will adjust.
  • Patients should start with soft foods, chewing slowly with their lips closed, and chewing on both sides to maintain balance.
  • Food should not be bitten with the anterior teeth, as this can cause posterior sections to lift from the tissue.
  • Patients should allow time for speaking comfortably with their new dentures.
  • Practice reading aloud and focusing on pronouncing difficult words.

Denture Cleaning Agents and Methods

  • Dentures can get dirty due to the porous structure of the base materials, stippling for gum appearance, spaces between teeth, retantif areas, and micro-scratches from finishing/polishing.
  • Proper cleaning is essential for optimal hygiene.
  • Mechanical methods include brushing with soap or toothpaste.
  • Chemical methods include using alkaline peroxides (powder/effervescent tablets).
  • Alkaline hypochlorites can remove discoloration, while diluted acids target stains.
  • Disinfectants like potassium permanganate and glutaraldehyde are used.

Denture Contamination Inside the Mouth

  • The three stages of denture contamination in the mouth are: mucin and food residues accumulating on surfaces, plaque formation, and calcification of organic material, which accumulates microorganisms.
  • The simplest way to clean is with soap and a soft brush.
  • If the plaque forms, a deeper cleaning may be required.

Denture Contamination Outside the Mouth

  • Contamination comes from tools, substances, water used in preparation, and skin/hands of personnel.
  • The reverse, transferring contaminants to personnel from dentures, is also possible.
  • The importance of sterilization and disinfection of equipment and materials.

Ideal Characteristics of Denture Cleaners

  • The ideal denture cleaner should be bactericidal and fungicidal but compatible with all denture base materials.
  • It should not have harmful toxic effects on the user and should be relatively inexpensive and easy to use.

Cleaning Methods

Methods for cleaning dentures include: Mechanical methods (brushing, ultrasonic devices, microwave ovens), and Chemical methods (alkaline peroxides, alkaline hypochlorites, diluted acids, disinfectants, enzymes).

Control of the Posterior Region of the Lower Jaw

  • Diagrams and procedures for accurately determining the posterior areas of the lower jaw.

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Complete Dentures Delivery PDF

Description

Test your knowledge on common issues and considerations when patients start using new dentures. This quiz covers crucial aspects like disinfection, assessment, and potential complications during the denture fitting process.

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